Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04765 | Date 18/04/2019 |
| Token No | SM/19-20/1178 18/04/2019 | Serial | 091 Last Visit: 09/11/2020 |
| Patient Name | Mrs. PUNAM SINGH | Contact No | 9903371427 |
| Address | 53 MUKHERJEE PARA LANE SERAMPORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||